April 2003 Vol Issue

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GUEST EDITORIAL

Telemedicine: Improving Access to Care of Hepatitis C

Lorenzo Rossaro, Thu P. Tran, Stacey L. Cole and Thomas S. Nesbitt

The use of telemedicine has allowed increased access to medical services in urban or rural area hospitals, ambulatory care settings and correctional facilities. The authors write of such a service from the University of California Davis' Telemedicine program in Sacramento, California.



GERIATRIC GASTROENTEROLOGY, SERIES #10

HIV Disease: Gastrointestinal Manifestations in Older Adults

Giridhar U. Adiga, T.S. Dharmarajan and C.S. Pitchumoni

The authors write that HIV disease in older adults is an increasingly recognized health problem. The gastrointestinal system, the largest lymphoid organ in the body is vulnerable to HIV infection. Gastrointestinal manifestations and weight loss are common initial presentations. Treating the older HIV patient is complex and requires close monitoring for tolerance, adverse drug events and drug interactions.



FOODBORNE ILLNESS, SERIES #3

Food Allergy

Olaitan A. Adeniji and Jack A. DiPalma

Doctors Adeniji and DiPalma write that food allergies are nontoxic adverse reactions to food that are mediated by immune mechanisms. These are different from food intolerances, which refer to adverse reactions that are not immune mediated. They discuss the epidemiology and pathophysiology of food allergies.



A SPECIAL ARTICLE

Diagnosis and Management Issues in Pediatric Patients with Gastrointestinal Polyps

Thomas A. Attard and Henry T. Lynch

The diagnosis and management of gastrointestinal tract polyps in pediatric patients relies on clinical recognition of characteristic traits through evaluation including detailed pedigree analyses, physical examination, endoscopy and histologic evaluation. Doctors Attard and Lynch discuss the distinction to be made between sporadic and syndronic polyps.



A CASE TO REMEMBER

Diarrhea in Gastrointestinal Amyloidosis

Sammy Ho and Kavita R. Kongara

Doctors Ho and Kongara present a case of a 78-year-old man with diarrhea and weight loss as a manifestation of gastrointestinal amyloidosis.



A SPECIAL ARTICLE

Mechanism of Action and Safety of Heartburn Therapies

Philip O. Katz and George Sachs

This article by Doctors Katz and Sachs focuses on the epidemiology and pathophysiology of heartburn. The information provided can help doctors to increase their patients' awareness of the benefits and limitations of various available therapies for managing their heartburn.



NUTRITION ISSUES IN GASTROENTEROLOGY, SERIES #4

Aspiration Risks and Enteral Feeding: A Clinical Approach

Marianne Opilla

This article by Ms. Opilla reviews aspiration related to tube feedings, identifies risk factors and preventive measures to enable physicians to deliver safe enteral nutrition to hospitalized patients.



Medical Bulletin Board

News items of interest to the nation's gastroenterologists.